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NJ Department of Banking and Insurance
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Home > Insurance Division > Managed Care > Valuation Bureau Applications
Valuation Bureau Applications

Mail or fax requests for Health Maintenance Organization (HMO), Selective Contracting Arrangement (SCA), Workers' Compensation Managed Care Organization (WCMCO), Dental Plan Organization (DPO), Dental Service Corporation (DSC) or Organized Delivery Systems (ODS) application packets to the attention of the bureau secretary. The packets contain application forms, item checklists, and relevent New Jersey statutes and regulations.

Address questions regarding applications to a Bureau Health Care Consultant specializing in that area.

Health Maintenance Organization (HMO)
 
Selective Contracting Arrangement (SCA)
 
Workers' Compensation Managed Care Organization (WCMCO)
 
Dental Plan Organization (DPO)
 
Dental Service Corporation (DSC)
 
Organized Delivery System (ODS)

Biographical Affidavit
 
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New Jersey Department of Banking and Insurance